| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.13 | $892.06 | $1,200.00 | |
Aetna
| Professional | $157.13 | $749.38 | $779.66 | |
CareSource
| Facility | $799.38 | $3,538.93 | $6,994.57 | |
Cigna
| Facility | $324.37 | $324.37 | $324.37 | |
Cigna
| Professional | $1,571.56 | $1,571.56 | $1,571.56 | |
United
| Professional | $33.75 | $49.50 | $116.01 |